Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackstone Valley Foot and Ankle Inc

Organization Foot & Ankle Surgery Podiatrist · NPI 1720482193

Blackstone Valley Foot and Ankle Inc is a Foot & Ankle Surgery Podiatrist in Pawtucket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2014.

Licensed in
RI
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

345 Armistice Blvd
Pawtucket, RI 02861-2429
Phone: (401) 725-5576
Fax: (401) 725-2640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DPM00327 (RI)

Record details

NPI number1720482193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Domenico — Owner · (401) 725-5576
NPI enumeratedOctober 14, 2014
Last updated in NPPESApril 24, 2017
Mailing address345 Armistice Blvd, Pawtucket, RI 02861-2429

Other providers in Pawtucket